Fixed Annuity with Long Term Care Benefits
A fixed annuity with long term care benefits provides retirees with guaranteed growth and income, while also offering an added layer of financial protection if extended care is needed later in life. For many families, it can be a smart middle ground between keeping money in low-yield CDs and buying a traditional long term care insurance policy . At Diversified Insurance Brokers, we specialize in pairing annuities with long term care riders, helping clients cover the rising costs of nursing homes, assisted living, and home health care—all without sacrificing retirement security.
Instead of “use-it-or-lose-it” premiums, a fixed annuity with LTC benefits lets you reposition existing assets into a single solution that can serve as both a conservative growth vehicle and a dedicated pool for future care. If you end up not needing care, the contract can still provide income, leave a death benefit, or be used for other retirement goals.
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Compare today’s fixed annuity options with long term care benefits and see how they can protect your retirement plan from costs Medicare doesn’t fully cover.
How Fixed Annuities with LTC Benefits Work
With a fixed annuity, your money grows at a guaranteed interest rate, similar to a CD but with tax advantages and different LTC tax rules . By adding a long term care rider , you can access enhanced benefits if you need extended care later in life. This typically means your annuity payments or account value are multiplied (often 2x–3x) when used to cover qualified long term care expenses, subject to monthly and lifetime maximums.
To qualify, you generally must meet long term care “triggers,” such as needing help with two of the six Activities of Daily Living (ADLs) (like bathing and dressing) or having a severe cognitive impairment. Once triggered, the contract can accelerate your annuity value and/or pay additional LTC-specific benefits for care at home, in assisted living, or in a nursing facility.
Why Consider This Option?
- Dual protection: Guaranteed annuity growth plus a dedicated pool for long term care coverage, so the same dollars work twice.
- Flexibility: Use funds for retirement income, legacy, or extended care needs—unlike stand-alone LTC where you may never use the benefits.
- No “use it or lose it” premiums: If long term care isn’t needed, the annuity still provides guaranteed value for income or heirs.
- Tax advantages: Many LTC-related payouts are designed to be received on a tax-favored basis, and growth inside the annuity is tax-deferred. You can also review how long term care benefits are taxed .
- Better leverage on safe money: Repositioning conservative assets (cash, CDs, existing annuities) into a fixed annuity with LTC benefits can create a larger pool of potential care dollars without adding market risk.
Who Is a Good Fit?
A fixed annuity with long term care benefits may be ideal if you:
- Want predictable growth with no market risk, similar to a MYGA but with added LTC upside;
- Are concerned about the rising costs of long term care and want an alternative to traditional LTC policies or return-of-premium LTC plans ;
- Prefer to use a single lump sum—often from an existing annuity or low-yield account—to create a dedicated non-qualified long term care annuity ;
- Want the ability to leave a legacy if care is never needed, instead of seeing premiums disappear;
- Are planning ahead for a spouse and want to explore shared-benefit style designs so both partners have protection.
How This Compares to Traditional LTC Insurance
Stand-alone long term care insurance is still a strong solution for many families, especially when you want pure LTC leverage and flexible benefit design. However, premiums can increase over time, and if you never need care, you may feel like you “got nothing back.”
By contrast, with a fixed annuity and LTC benefits:
- You start with a known annuity value and guaranteed interest rate;
- Your LTC rider charges are typically drawn from the annuity, not separate LTC premiums billed for life;
- If you never need care, you still have an annuity that can be used for income or left to your beneficiaries—often coordinated with your annuity death benefit options .
Many clients use a hybrid strategy: a fixed annuity with LTC benefits for leveraged care dollars plus either traditional LTC or shared-benefit LTC riders for additional protection.
Coordinating Annuity LTC Benefits with Medicare & Other Coverage
One of the biggest misconceptions is that Medicare will pay for a long stay in a nursing home or assisted living. In reality, Medicare does not cover most long term care , and Medicare and LTC insurance are not the same thing .
A fixed annuity with LTC benefits fills this gap by creating a dedicated pool of funds that can be tapped if you need help with ADLs or have a cognitive impairment. We’ll also help you coordinate these benefits with:
- Existing traditional LTC policies you may already own;
- Retirement income from Social Security and annuities;
- Other health coverage, including Medicare supplements or Medicare Advantage.
Why Work With Diversified Insurance Brokers?
Since 1980, we’ve helped families design retirement income strategies that balance guaranteed security and protection from unexpected health costs . As an independent, family-owned agency with access to 75+ A-rated carriers, we compare multiple fixed annuity and hybrid designs before making any recommendations. Our process includes:
- Reviewing your current assets, existing annuities, and LTC coverage;
- Comparing fixed annuities with and without LTC riders, along with Partnership-qualified LTC options where appropriate;
- Showing side-by-side illustrations with different benefit periods, inflation options, and rider designs;
- Helping you understand trade-offs in simple, non-technical language so you can make confident decisions.
Protect Your Retirement and Future Care Needs
Get started today with a fixed annuity that also covers long term care expenses—and see how it compares to other LTC strategies.
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FAQs: Fixed Annuity with Long-Term Care (LTC) Benefits
What is a fixed annuity with long-term care benefits?
It’s a fixed (or multi-year guaranteed) annuity that adds an LTC rider or is designed as a hybrid annuity-LTC policy. Your principal is protected and grows at a fixed rate, and if you need qualifying long-term care, the contract can pay enhanced benefits beyond your account value, subject to rider terms.
How do the LTC benefits work?
When you meet benefit triggers—typically needing help with two of six Activities of Daily Living (ADLs) or severe cognitive impairment—the contract can accelerate your account value and/or provide additional LTC payouts for covered care at home, assisted living, or nursing facilities, up to monthly and lifetime maximums.
What are common LTC triggers and waiting periods?
Most riders use ADL or cognitive impairment triggers certified by a licensed healthcare practitioner. An elimination period (e.g., 0–90 days) may apply before benefits pay. Some designs reimburse actual expenses; others pay an indemnity (set amount) regardless of receipts.
How big can the LTC pool be?
Designs vary, but a typical structure multiplies your premium/account value (e.g., 2×–3×) to create a larger pool available for LTC, subject to monthly caps and a maximum benefit period (often 24–72 months).
What’s the difference between reimbursement and indemnity benefits?
Reimbursement pays up to the monthly limit for eligible, receipted care. Indemnity pays a fixed monthly amount once you qualify—more flexible for family care and incidental costs.
Is medical underwriting required?
Usually simplified underwriting (health questions and possibly a phone interview). No paramedical exam in many cases. Approval depends on age and health history.
How are benefits and charges taxed?
Generally, qualified LTC benefits from tax-qualified riders are intended to be received income-tax-free up to federal per-diem limits; charges for LTC riders may reduce account value or credited interest. Tax rules are complex—consult your tax advisor.
Can I 1035 exchange an existing policy to fund this?
Yes, many contracts accept a non-taxable 1035 exchange from another annuity or life policy. Compare surrender charges, tax basis, and rider availability before moving assets.
Does this affect Required Minimum Distributions (RMDs)?
If funded with IRA/qualified money, RMDs still apply. We’ll help coordinate RMDs so you stay compliant while preserving LTC benefits.
Is this “Partnership”-qualified LTC?
State Partnership programs generally apply to stand-alone LTC insurance, not annuity-based LTC. Hybrid/annuity LTC typically does not create Partnership asset protection.
What about inflation protection?
Some riders offer optional inflation features (e.g., 3%–5% compound on LTC limits) for an extra charge. Others allow periodic increases subject to underwriting.
What fees or trade-offs should I know?
Riders may have ongoing charges or embedded costs that reduce credited interest. Standard annuity limitations apply (surrender schedule, free withdrawals, possible market value adjustment). Review the contract disclosure for details.
Can I use benefits for home care or family caregivers?
Many plans cover home health and assisted living. Indemnity designs are often more flexible for family-provided care; reimbursement designs may require licensed providers. Check the certificate for specifics.
Who is this best for?
Pre-retirees and retirees who want principal protection and a dedicated LTC reserve without “use-it-or-lose-it” premiums, or those repositioning low-yield CDs/annuities to leverage dollars for potential care needs.
About the Author:
Jason Stolz, CLTC, CRPC, is a senior insurance and retirement professional with more than two decades of real-world experience helping individuals, families, and business owners protect their income, assets, and long-term financial stability. As a long-time partner of the nationally licensed independent agency Diversified Insurance Brokers, Jason provides trusted guidance across multiple specialties—including fixed and indexed annuities, long-term care planning, personal and business disability insurance, life insurance solutions, and short-term health coverage. Diversified Insurance Brokers maintains active contracts with over 100 highly rated insurance carriers, ensuring clients have access to a broad and competitive marketplace.
His practical, education-first approach has earned recognition in publications such as VoyageATL, highlighting his commitment to financial clarity and client-focused planning. Drawing on deep product knowledge and years of hands-on field experience, Jason helps clients evaluate carriers, compare strategies, and build retirement and protection plans that are both secure and cost-efficient.
